Exchange among nations in medical education takes many forms: of students, of faculty, of methods, and of information. There is no question of the mutual enrichment and universal benefit. It is inevitable that some experiences are inappropriate, that there are errors of application, or that migration of talent occurs. Even with random exchange, the benefits outweigh the losses, but with more deliberate and careful planning, these benefits can be enhanced.
American Medical Schools
The division of international medical education of the Association of American Medical Colleges has published a report of International Activities of American Medical Colleges,1 in which they have surveyed the programs of 51 schools. They found a great variation in the interest and involvement, but noted that every medical school has some degree of international activity, either abroad or at home. They found that three schools had departments of international health, and 14 others have specific